The MRCGP AKT is a 200-question paper sat over 3 hours and 10 minutes — testing clinical medicine (approximately 80%), evidence-based practice (approximately 10%), and health informatics and administrative topics (approximately 10%). The breadth is the challenge: you need to know cardiovascular, respiratory, endocrine, musculoskeletal, dermatology, ENT, ophthalmology, psychiatry, paediatrics, women's health, and more — alongside statistical interpretation, clinical trial methodology, QOF targets, and NHS governance structures.
iatroX now provides AKT mock exams matching this format exactly: 200 questions, 3 hours 10 minutes, all three content domains, deferred explanations, timed auto-submit.
The AKT Mock Format
200 questions, 190 minutes. That is 57 seconds per question — sustained across more than 3 hours. The mock draws from the full AKT curriculum: clinical medicine across all primary care specialties, evidence-based medicine (study design interpretation, NNT/NNH, sensitivity/specificity, meta-analysis), and health informatics (QOF, NHS structures, clinical coding, governance).
Topic distribution mirrors the real exam. The mock is weighted to match the AKT blueprint — approximately 80% clinical, 10% evidence-based practice, 10% health informatics. You will not see 200 clinical questions; you will see the same mix of question types the real exam presents.
Half-length option. 100 questions in 95 minutes — for mid-week timed practice without the 3-hour commitment.
Post-mock review. Score breakdown by topic domain (clinical medicine subtopics, evidence-based practice, health informatics), time-per-question analysis, and full explanations for every question. The topic breakdown is particularly important for identifying the "hidden weak spots" — domains where your confidence exceeds your competence.
The Unique AKT Challenge
The AKT is uniquely broad compared to other postgraduate medical exams. MRCP Part 1 tests internal medicine depth. MRCEM tests emergency medicine. The AKT tests everything — because general practice covers everything. A GP registrar needs to manage childhood eczema, adult heart failure, antenatal screening, mental health crisis, and musculoskeletal injury — all in the same morning surgery.
This breadth creates a preparation trap: candidates spend disproportionate time on their strongest clinical areas (which they see daily in practice) and neglect the areas they rarely encounter (ophthalmology, ENT, dermatology, evidence-based practice, health informatics). The result is a profile with strong peaks and dangerous troughs — and the AKT tests the troughs as rigorously as the peaks.
The study planner addresses this through curriculum coverage tracking. It monitors which topic areas you have practised and which remain untouched — and flags the gaps before they become exam-day surprises. The daily task schedule ensures that every domain receives attention proportional to its exam weighting, not proportional to your comfort level.
AKT-Specific Mock Strategy
The AKT has a specific pacing challenge that mocks are designed to address. At 57 seconds per question, you cannot afford to spend 3 minutes on any single question without creating a time deficit that compounds across the remaining paper. Mock exams teach you the critical pacing discipline: read the stem (10 seconds), identify the clinical scenario (5 seconds), recall or reason through the answer (25 seconds), select and confirm (5 seconds), move on (2 seconds). Forty-seven seconds of cognitive work plus 10 seconds of mechanics. Sustained 200 times.
The evidence-based practice questions (10% of the paper) are where most candidates lose time. A question presenting a clinical trial and asking you to calculate NNT from a 2x2 table takes longer than a clinical SBA — but it carries the same marks. Mock exams teach you to allocate time proportionally: if a statistics question is taking more than 90 seconds, flag it and return after completing the clinical questions.
Health informatics questions (10%) are the domain most candidates under-revise — QOF targets, NHS contract structures, clinical governance, screening programme specifics, and medico-legal frameworks. These questions are not clinically difficult but they require specific factual knowledge that clinical experience alone does not provide. The mock's post-review topic breakdown identifies whether health informatics is pulling your overall score down — and the study planner targets it specifically if it is.
Common AKT Failure Patterns
Candidates who fail the AKT typically share one or more of these patterns — and mock exams are the diagnostic tool that identifies them before exam day.
Pattern 1: Strong clinical knowledge, weak EBP/informatics. Overall mock score 62% — but clinical medicine 68%, evidence-based practice 42%, health informatics 38%. The candidate is a competent GP with strong clinical reasoning but has not revised the 20% of the paper that tests research methodology and NHS governance. The study planner targets this gap specifically.
Pattern 2: Uneven clinical coverage. Overall mock score 60% — but cardiovascular 82%, respiratory 78%, dermatology 35%, ophthalmology 28%, psychiatry 40%. The candidate has practised the clinical areas they see daily and neglected the areas they encounter rarely. The study planner's curriculum coverage tracker flags these gaps.
Pattern 3: Time management failure. Overall accuracy on answered questions is 72% — but 18 questions unanswered because time ran out. The candidate knows the content but cannot deliver it at 57 seconds per question. Only mock exams reveal this — untimed practice cannot diagnose a pacing problem. The mock's time-per-question analysis shows exactly where the candidate slowed down — typically on EBP questions, complex multi-step clinical scenarios, or the final 30 questions where fatigue degrades processing speed.
Mock exams are the diagnostic tool for all three patterns. The study planner is the treatment — automatically targeting the specific weakness each pattern represents.
Free Q-Bank, Premium Mocks
The MRCGP AKT Q-bank is free on iatroX — no subscription required. Adaptive practice, spaced repetition, and the performance dashboard are all available at zero cost for UK foundation exams.
Mock exams and the AI study planner are premium features included in the iatroX subscription. The distinction: free adaptive practice builds your knowledge. Premium mocks and the study planner test your readiness and optimise your preparation schedule. Both are valuable — and using the free Q-bank alongside the premium study planner produces the most efficient preparation pathway.
Try your first AKT mock today at iatrox.com/quiz-landing.